Fully Remote
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Department
HB & PB Coding ServicesJob Summary
Under general supervision, trains and educates the providers and coding staff on all aspects of coding and documentation as it applies to the professional billing in an academic setting. Prepares training and presentations on applicable topics. Researches questions and issues using all available resources. Provides both oral and written direction to the coders when a provider query should be sent. Interacts with clinical staff for the purpose of documentation improvement and clarification. Performs audits of providers and coding staff to ensure documentation and coding accuracy compliance. Provides feedback to providers and coders from audit results for documentation and coding quality improvement. Provides one-on-one and group coding and documentation training as well as on-boarding education to new providers. Performs various coding assignments under the direction of Education Manager.
Essential Functions:
- Audits - Performs audits of the provider and coding staff to ensure documentation and coding accuracy compliance based on professional billing guidelines. Provides feedback to providers and coders from audits for documentation and coding quality improvement. Performs additional audits as requested. When a documentation or coding error is found, the relevant documentation or coding guideline and/or resource will be provided and referenced. Ensures a 95% accuracy on audits. (25%)
- Training - Trains and educates provider and coding staff on all aspects of documentation and coding. Prepares trainings and presentations on various topics. Training can be one-on-one or in a group. (25%)
- Provider Queries – Creates queries and provides feedback to areas where improvement is needed. Educates coders on appropriate situations for provider queries. (15%)
- Research - Researches documentation and coding questions, changes in regulatory compliance, professional coding/billing rules and guidelines, and other topics using all available resources. (15%)
- Coding Knowledge & Skills - Participates in departmental coding and educational meetings and training. Maintains any current coding credential(s). Present educational in-services to coders, providers and other applicable staff. Completes any coding related web-based training or other assigned coding instruction or research. Maintains involvement in local/regional/national professional organizations. Reads and communicates information in applicable publications. Maintain competency with coding software and related systems. (5%)
- Team Participation - Works as a member of a coding team for the successful benefit of the hospital and the department. Strives for strong unit cohesion by working well with other members of the team and performing tasks in a manner that maintains the unit cohesion. (5%)
- Policies & Procedures - Follows all hospital and departmental procedures. Follows directions given by the Director of Coding & Compliance and/or Coding Managers. (5%)
- Resource Management - Manages resources in a conservative, responsible, and cost-effective manner. Resources include but are not limited to time, non-productive time, email usage, internet usage, phone usage, printing, copying and books.
- • Promotes positive interpersonal (customer) relationships with fellow employees, physicians, patients and visitors. Treats these individuals with courtesy, dignity, empathy and respect; consistently displays courteous and respectful verbal and non-verbal communications.
- • Adheres to, complies with and demonstrates support for the mission and values of Denver Health. Supports and adheres to the Denver Health Values of Trust, Respect & Excellence and the Standards of Behavior.
- • Ensures confidentiality of patient information by creating and maintaining a secure and trusting environment by not sharing information learned on the job, except when necessary in the performance of the job responsibilities or to improve a patient’s care.
- • Adheres to Denver Health and departmental attendance guidelines.
- (5%)
Education:
- High School Diploma or GED Required
Work Experience:
- 4-6 years medical coding experience assigning ICD-10-CM, CPT, and HCPCS codes for professional billing in multi-specialty areas Required and
- less than 1 year Experience with electronic and handwritten medical record documentation Experience with provider and coder education, compliance, and auditing Required and
- less than 1 year Experience in oral and written communication with providers and coders Required
Licenses:
- CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders Required
Knowledge, Skills and Abilities:
- Possess and applies a thorough knowledge of coding, documentation, applicable guidelines, and compliance as it applies to professional billing in an academic setting.
- Thorough knowledge of billing, reimbursement, and anatomy & physiology.
- Ability to professionally interact with physicians.
- Ability to work with all personnel throughout Denver Health.
- Ability to work independently, possess critical thinking skills, audit providers and coders work and provide appropriate feedback.
- Ability to create training material and presentations.
- Possess good computer keyboarding skills. Knowledge of Microsoft Outlook and use of email and calendar functions.
- Possess strong oral and written communication skills.
- Possess strong organizational skills and the ability to work independently and meet deadlines.
- Capable of reading and interpreting documentation and coding guidelines and making subsequent decisions.
- Knowledgeable in researching documentation and coding related topics and issues.
- Ability to pass a coding proficiency pre-hire test with 85% accuracy or higher.
- Demonstrates advanced leadership and team building skills.
Shift
Days (United States of America)Work Type
RegularSalary
$69,600.00 - $107,900.00 / yr
Benefits
- Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans
- Free RTD EcoPass (public transportation)
- On-site employee fitness center and wellness classes
- Childcare discount programs & exclusive perks on large brands, travel, and more
- Tuition reimbursement & assistance
- Education & development opportunities including career pathways and coaching
- Professional clinical advancement program & shared governance
- Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
- National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
- Respect
- Belonging
- Accountability
- Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.
